Enhancement by Lysozyme of the Sensitivity of Treponema Pallidum Immobilization Tests

Abstract
The incorporation of 0.0075% lysozyme in treponemal survival medium effects a 3- to 4-fold increase in the sensitivity of tests for specific T. pallidum immobilizing (TPI) antibody. This increase, superimposed on that achieved by incubating for 40 hours instead of the usual 18 hours, resulted respectively in 7-to 8-fold and 15- to 16-fold mean increases in the titers of syphilitic human and rabbit sera. Practical applications in the sero-diagnosis of syphilis are demonstrated.